OrganizationNorman J Kakos Md PcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address32121 Woodward Ave, Suite 204, Royal Oak, MI 48073-6237(248) 399-5492PECOS EnrollmentBased on the most recent information from CMS, provider Norman J Kakos Md Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:21 AM.Profile DetailsProvider ID1609944487Provider TypeOrganizationFull NameNorman J Kakos Md PcSubpartNoEnumeration Date12/1/2006Last Updated8/14/2015Contact InformationPractice LocationPractice Address32121 Woodward Ave, Suite 204, Royal Oak, MI 48073-6237Phone(248) 399-5492Fax(248) 399-5792Mailing LocationMailing Address32121 Woodward Ave, Suite 204, Royal Oak, MI 48073-6237Phone(248) 399-5492Fax(248) 399-5792Authorized OfficialNameKakos, Norman Johnny (Owner Physician)Phone(248) 399-5492Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4301068130MichiganProvider IdentifiersIDDescriptionIssuerID110F338430DescriptionOtherIssuerBCBS GROUPMichiganID1106334721DescriptionOtherIssuerBCBS BCNMichiganID4422877DescriptionMedicaidIssuerUnlistedMichigan